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PRINTED: 08/29/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: COMMUNITY HOSPITAL (X4) ID PREFIX
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How to fill out identification number
01
Start by obtaining the identification number form from your local government agency or office.
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What is identification number?
Identification number is a unique code or number assigned to an individual or entity for the purpose of identification and record-keeping.
Who is required to file identification number?
Individuals or entities that are subject to reporting requirements, such as taxpayers, businesses, or organizations, are required to file identification number.
How to fill out identification number?
Identification number can be filled out by providing the required information, such as name, address, tax identification number, and any other relevant details, on the corresponding form or application.
What is the purpose of identification number?
The purpose of identification number is to uniquely identify individuals or entities and facilitate proper record-keeping and reporting for regulatory or tax purposes.
What information must be reported on identification number?
The information that must be reported on identification number may vary depending on the specific requirements or regulations, but typically includes personal or business details, financial information, and any other relevant data.
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